Cho, Min Ki;Kim, Yang Weon;Lee, Kyeong Ryong;Lee, Kyung Woo;Lee, Jang Young;Cho, Gyu Chong;Cho, Junho;Kim, Hyun Jong;Kim, Seong Hwan;Chung, Sung Phil;Lee, Hahn Shick
Journal of The Korean Society of Clinical Toxicology
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v.10
no.2
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pp.73-79
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2012
Purpose: The purpose of this study was to identify the changes in the characteristics of patients with carbon monoxide (CO) poisoning, as well as the distinctive differences in intentionally exposed patients. Methods: The medical records of CO poisoning patients, who visited nine emergency departments between January 2010 and December 2011, were reviewed retrospectively. The clinical information including age, gender, hospitalization, type of discharge, cause and location of exposure, site of onset, concentration of initial blood carboxyhemoglobin (COHb), methods of treatment and presence of neurological complications was examined. The subjects were divided into an intentional and non-intentional group and the differences between them was compared. Results: A total 209 subjects were recruited. The median age was 38 years (29~49.5 years). They frequently complained of nausea and vomiting, and the most common exposures occurred in winter, normally in the home. The cause of exposure was usually fire, followed by incomplete combustion of fuels. The median initial blood COHb was 13.15%. The proportion of intentionally exposed patients was 21%. They were significantly younger, more frequently discharged against medical advice, and showed a higher initial blood COHb level (22.85%) than the non-intentional group. Conclusion: This study suggests that those with intentional CO poisoning are normally discharged against medical advice even when they have a higher initial COHb level. An adequate explanation of the delayed neurologic sequelae and short term follow-up observation is recommended for those patients with intentional exposure.
Journal of agricultural medicine and community health
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v.34
no.3
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pp.346-358
/
2009
Objectives: A study was conducted by analysing the contents and frequency of emergency treatment practiced by emergency medical technicians(EMTs) in emergency situations and contains related factors. Methods: The study subjects included 80 EMTs who participated in ongoing education classes during the period from June 25th to June 26th, 2008. the survey included 53 EMTs employed within 119 first aid teams in fire stations in both a metropolitan city and a medium-sized city. From the survey results relation between frequency of emergency treatment and subjects characteristics explored statistically including t-test, X2 test, Pearson correlation and finally stepwise multiple regression. Results: The most frequent procedure by EMTs checking vital signs. The statistically significant related factors overall of the 23 items of emergency treatment frequency was the working area and the grading of EMT certification. In contrast, significant related factors with frequency of IV linkage were found to be the subjects gender, institution employed and the importance of recognizing the item. The statistically significant related factors of that of ECG monitoring was the gender of respondents. Conclusions: To keep the appropriate frequency of emergency treatment by EMT, active efforts to promote their individual importance and confidence cognition are necessary, especially towards males and persons who have 2nd class certification. Moreover, EMTs who work in small cities must be supported.
It is aimed to examine the effect of literary therapy program on the improvement of friendship among elementary school students using various media and activities of literature. After the literature therapy program was conducted for elementary students, post-test was conducted. The results of the study are as follows. First, there was no significant difference between the experimental group and the comparative group in the post-test immediately after the end of the program, but in the follow-up test performed 5 weeks after the counseling, the average of the peer relations of the experimental group was significantly higher than that of the comparative group. Second, in the post-test, there was no significant difference between the experimental group and the comparative group in the "intimacy" sub-area of the peer relationship, but in the follow- up test, the "intimacy" sub-region average of the experimental group was significantly higher than the comparative group. Third, the level of 'interest' among the peer relationship sub-domains of the experimental group showed a significant difference in the follow-up test. As a result, literature therapy had no immediate effect on the improvement of friendship among adolescents, but it was effective after a long time.
Cho young doo;Koo Ja Hyeuk;Choi Kwang Seo;Seo Dae Won;Joung Jae Hee;Takeuchi Manabu
Journal of the Korean Institute of Gas
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v.4
no.4
s.12
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pp.20-24
/
2000
The electrostatic safety consciousness of safety manager were investigated through questionnaires sent to liquid petroleum gas stations in Korea. In addition, hazards of fire and explosion due to electrostatic on synthetic-polymer-wears and cotton-wears were estimated experimentally. The results of questionnaires indicate most workers wear their working clothes indiscreetly owing to lack of knowledge of preventing electrostatic hazards. The amounts of electrostatic charge generated in synthetic-polymer-wears were 1.79, 1.44 and 1.02 $\mu$C in winter, spring and autumn and summer, respectively. All these values exceed the limit of working wears of 0.60$\mu$C requested by Korea Standard(KS K-7807) for preventing electrostatic hazards, which means hazards may occur. While, the charge in cotton-wears were in the range of 0.42 to 0.52$\mu$C, which suggests that the cotton-wears investigated in this study have no problem of hazards. Therefore workers, visual and experiential education are necessary for elevating the standard of on electrostatics. It is also necessary to establish standards of wearing for preventing electrostatic hazards.
Recently, localized heavy rain is increased by climatic changes and landslide is increased. Also, because of landslide occurred in urban area, life and property damages are increased. Therefore, standard operation procedure of disasters should be established by steps and institutions so as to respond landslide. This thesis investigated application of current disaster manual so as to write SOP of landslide for disaster prevention related experts and accepted opinion for responding necessaries by using landslide SOP and important matters by step of disaster management. As the result of investigation, application of manual was low during the current response to disasters and application was the highest in responding step among the steps of disaster management. In case of landslide, they responded that response with SOP is necessary. During the organization of landslide SOP, they responded that training and education for landslide disaster are important at the step of prevention, conduction of landslide disaster broadcasting and provision of information are important at the step of preparation, guidance for evasion and behavior methods is important at the step of response and investigation of landslide disaster damages and reflection of record and evaluation are important at the step of recovery. In addition, for the requests for landslide SOP application, there was an importance of secondary factors such as expansion of professional manpower, strengthening of law and institution, education and training for SOP acquisition, etc.
In this study, the theoretical review was carried out on the concepts regarding the continuity of operation plan and business continuity management plan, international standard ISO22301 and common required functions for disaster response, and the business continuity guideline of local governments in Japan and establishment cases were analyzed to draw matters to be reflected for establishing the business continuity plan of local governments according to the occurrence of earthquake and tsunami. In conclusion, the standard guideline of central government should be prepared for establishing the business continuity plan of local governments and the foundation to establish the plan smoothly based on such guideline should be provided. Also, the business continuity plan should be prepared based on the previous established safety management plans by reflecting the regional characteristics of local governments. And, in order to establish the business continuity plan that fits the region, proper investigations can be carried out to examine the characteristics of each organizations, resources, facilities and environments. Lastly, detailed scenario on the scale of earthquake and tsunami occurrence and damages is prepared to establish the business continuity plan of local governments and conditions for prompt countermeasures according to the scale.
Kim, Young-Im;Jung, Hye-Sun;Lee, Chang-Hyun;Kim, Gum-Sook;Park, Jung-Young
Research in Community and Public Health Nursing
/
v.11
no.2
/
pp.411-422
/
2000
The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.
Journal of the Korea Academia-Industrial cooperation Society
/
v.18
no.4
/
pp.718-725
/
2017
A liquid storage tank is one of the most important structures in industrial complexes dealing with chemicals, and its structural damage due to an earthquake may cause a disastrous event such as the leakage of hazardous materials, fire, and explosion. It is thus essential to assess the seismic fragility of liquid storage tanks and prepare for seismic events in advance. When a liquid storage tank is oscillated by a seismic load, the hydrodynamic pressure caused by the liquid-structure interaction increases the stress and causes structural damage to the tank. Meanwhile, the seismic fragility of the structure can be estimated by considering the various sources of uncertainty and calculating the failure probabilities in a given limiting state. To accurately evaluate the seismic fragility of liquid storage tanks, a sophisticated finite element analysis is required during their reliability analysis. Therefore, in this study, FERUM-ABAQUS, a recently-developed computational platform integrated with commercial finite element and reliability analysis software packages, is introduced to perform the finite element reliability analysis and calculate the failure probability of a liquid storage tank subjected to a seismic load. FERUM-ABAUS allows for automatic data exchange between these two software packages and for the efficient seismic fragility assessment of a structure. Using this computational platform, the seismic fragility curve of a liquid storage tank is successfully obtained.
Jang, Young Hee;Noh, Young Il;Lee, Sang Moon;Kim, Sung Su
Clean Technology
/
v.25
no.1
/
pp.33-39
/
2019
A.C (activated carbon) is mainly used to remove VOCs (volatile organic compounds), however, it has many problems such as fire risk due to increasing of adsorbent surface temperature during VOCs ad/desorption, increased cost by frequent replacement cycles requirement and performance degradation when containing moisture. In order to solve these problems, many researches, hydrophobic zeolite adsorbents, have been reported. In this study, $NH_4{^+}Y$-zeolite was synthesized with Y-zeolite through steam treatment and acid treatment, which is one of the hydrophobic modification methods, to secure high surface area, thermal stability and humidity resistance. The Y, Y-550-HN, Y-600-HN and Y-650-HN had adsorption capacities of $23mg\;g^{-1}$, $38mg\;g^{-1}$, $77mg\;g^{-1}$, $61mg\;g^{-1}$. The change of Si/Al ratio, which is an index to confirm the degree of modification, was confirmed by XRF (X-ray fluorescence spectrometer) analysis. As a result, the adsorbtion performance was improved when Y-zeolite modified, and the Si/Al ratio of Y, Y-550-HN, Y-600-HN, Y-650-HN were increased to 3.1765, 6.6706, 7.3079, and 7.4635, respectively. Whereas it was confirmed that structural crystallization due to high heat treatment temperature affected performance degradation. Therefore, there is an optimal heat treatment temperature of Y-zeolite, optimum modification condition study could be a substitute for activated carbon as a condition for producing an adsorbent having high durability and stability.
Journal of Korean Tunnelling and Underground Space Association
/
v.21
no.1
/
pp.1-29
/
2019
Related to the previous paper on the typical crack pattern of tunnel lining with NATM, the characteristic defects in reinforced cement concrete lining of NATM tunnel have analyzed with the precise inspection with safety and diagnosis (PISD) by KISTEC. Depending on the reinforcing materials, steel rebar, steel fiber, and glass fiber have been implemented to reinforcing lining in various NATM tunnel constructions. Reinforcing lining with rebar are prevailed on NATM tunnel to countermeasure the weak geological circumstances, to pursuit the economical tunnel sections, and to resist the risk of tunnel deterioration. By the special act on the safety control of public facilities, the reinforced NATM tunnels for more than 1 km length are scrutinized closely to characterize defects; crack, reinforcement exposure, and lack of lining. Crack resistance by reinforcing is shown in comparison with the normalized crack to the length of tunnel. Typical exposed reinforcements in lining have exemplified with various sections. The lack of lining due to the mal-construction, spalling, fire, earthquake and leaching has been analyzed. The cause and mechanism with the field inspections and other studies has also been verified. Detailed cases are selected by the above concerns as well as the basic information from FMS (Facilities Management System). Likewise the previous paper, this study provides specialized defects in reinforced lining of NATM and it can be widely used in spreading the essential technics and reporting skills. Furthermore, it would be advised and amended for the detail guideline of Safety Diagnosis and PISD (tunnel).
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